Lee L Gibson, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS5067 Issued in FL

Practice address

190 SW Natures CT
Fort White, FL 32038-2357

Phone

(386) 961-4728

NPI assigned

Jul 26, 2006

Last updated

Jan 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, AR, MO3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560
  Medicare reassignment NPD
• W4P LLC

  dba Hernando County Emergency Physicians

  • Emergency Medicine Physician
  • Spring Hill, FL
  • NPI 1689116618
  Medicare reassignment NPD
• Ste Genevieve County Memorial Hospital

  • Critical Access Hospital
  • Ste Genevieve, MO
  • NPI 1073587655
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AR

  Medicare reassignment
• Analytical Pathology Services LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Saint Louis, MO
  • NPI 1558343673
  NPD
• Ste. Genevieve County Memorial Hospital

  dba Bloomsdale Specialty Clinic

  • Foot Surgery Podiatrist
  • Bloomsdale, MO
  • NPI 1104692946
  NPD
• Cajina Anesthesia, PA

  • Anesthesiology Physician
  • Lake City, FL
  • NPI 1538198692
  NPD (past)
• Doctors Memorial Hospital Inc

  • Family Medicine Physician
  • Perry, FL
  • NPI 1578327896
  NPD (past)
• Emergency Physicians Inc

  dba Emergency Resources Group

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1285686675
  NPD (past)
• Eyes at Centerville Park LLC

  dba Palmer Eye Center

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1124125406
  NPD (past)
• FC Emergency Physicians LLC

  • Emergency Medicine Physician
  • Brooksville, FL
  • NPI 1871776872
  NPD (past)
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1780608778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "FORT WHITE",
            "state": "FL",
            "postal_code": "320380118",
            "telephone_number": "386-497-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SW NATURES CT",
            "city": "FORT WHITE",
            "state": "FL",
            "postal_code": "320382357",
            "telephone_number": "386-961-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LEE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS5067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35654900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Louise Clark
• Columbia Family Medicine
• Felisa Ann Davis-Holmes
• David Wayne Davis
• Ft. White Alf BSLC LLC
• Grace Pediatrics PL
• Lucille Idarola, CCC-SLP
• Ja'Chari Johnson
• Susan Virginia Koontz, PHARMD
• Jessica Land

• Emergency Medicine Physician in Fort White, FL
• Providers in Fort White, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.